Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124952536 Individual Practitioner Male Practitioner

Jack Kyle Carlson

Dentist - General Practice • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Jack Carlson is a registered healthcare professional specializing in Dentist - General Practice in Fargo, ND. Practice services are available at 3115 UNIVERSITY DR S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3115 University Dr S

Fargo, ND 581036049

Telephone 7012328884
Fax 7012328884
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
73 Specialists

Practicing in Fargo, ND (294 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ND 2588

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Todd Debates , DDS PC

Dentist - General Practice

NPI 1104996941

DDSPC

Dr. Thomas Fellman , DDS LTD

Dentist - General Practice

NPI 1467683011

DDSLTD

Dr. Alexander Althoff , DDS

Dentist - General Practice

NPI 1528686508

Doctor of Dental Surgery

Dr. Chad Bergan , DDS

Dentist - General Practice

NPI 1760720528

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 10, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2026

Registered at 3115 UNIVERSITY DR S, FARGO, ND 581036049 (Tel: 7012328884)

📍
Updated Business Mailing Address June 10, 2026

Registered at 3115 UNIVERSITY DR S, FARGO, ND 581036049 (Tel: 7012328884)

👤
Provider Name / Credentials Updated June 10, 2026

Recorded as JACK CARLSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2026

Dentist (License #2588 in ND)

🟢
Initial NPI Registration & Enumeration June 10, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124952536
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2026
Last Update: June 10, 2026
Sole Proprietor: No

Mailing Address

3115 University Dr S

Fargo, ND 581036049

Phone: 7012328884

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.